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A sequel of supracondylar fractures of distal humerus in children is the angular deformity. It is usually more frequent cubitus varus, but there are reported cases of cubitus valgus. The latter may be the cause of the occurrence of a late ulnar nerve neuropathy, which will require treatment. There is controversy as to whether it is possible to successfully treat both problems at the same surgical procedure. This article describes the case of a girl of 11 years old, who has a cubitus valgus deformity secondary to supracondylar fracture of distal humerus of right elbow at the age of seven years, associated with progressive symptoms of ulnar nerve neuropathy. This patient was treated successfully by a single procedure for corrective dome-shaped supracondilar osteotomy associated with subcutaneous anterior transposition of the ulnar nerve through a posterior approach. [ABSTRACT FROM AUTHOR]

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Objective: To show the efficacy of LCP plates versus LC-DCP plates in radial and ulnar shaft fractures. Material and methods: 78 radial and/or ulnar fractures were reviewed prospectively in 54 patients; 42 were treated with LCP and 36 with LC-DCP in a 24-month period (from January 1st to December 31st, 2004). X-ray controls were obtained at 4, 8 and 12 weeks in all patients. Results: 30.76% of the fractures were of the radius and ulna, and 69.23% (54 fractures) involved a single bone. Ulnar fractures accounted for 53.84% (42); 42.85% (18) were treated with LCP plates and 57.14% (24) with LC-DCP. Fracture healing occurred within 4-7 weeks in 38.46% (30) of the fractures; 70% (21) of them were treated with LCP and 30% (9) with LC-DCP. It was found that 2.77% (1) of those treated with LC-DCP had pseudoarthrosis, and none of the patients treated with LCP reported this complication. Conclusions: Healing time is shorter with LCP versus LC-DCP plates, including open fractures. Complications were considerably less frequent with LCP than for LC-DCP plates. The pseudoarthrosis rate tended to be lower with LCP plates. [ABSTRACT FROM AUTHOR]